Alexander Steven Gilmore, D.C.
Individual provider Active NPI Nutrition Chiropractor · Cedaredge, CO
NPI 1902011489 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902011489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 5432 (CO)
- Practice address
- 105 SE Greenwood Ave
Cedaredge, CO 81413-4003 - Phone
- (970) 856-3545
- Fax
- (970) 434-8501
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120220000946 | CO | Practitioner - Chiropractic | 6103715594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Family Wellness Inc. | Nutrition | Current |
Accepting new patients |
Locations
105 SE Greenwood Ave
Cedaredge, CO 81413
Phone (970) 856-3545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 5432 | CO | Yes |
Addresses
Primary practice location
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Mailing address
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545
Other providers in Cedaredge, CO
- Deborah Bhasker PC
- Delta County Memorial Hospital
- Eric Dyer
- Essential Embodiment LLC
- Nicole Gessell
- Stephanie Hanson
- Christin Dawn Hawbaker
- Timothy Parker Hawbaker
- Magdalena Evelyn Hunsaker
- Christian T Johnson
All providers in Cedaredge, CO · Nutrition Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.